# ADVANCE INTERNAL MEDICINE P C

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ADVANCED INTERNAL MEDICINE P C
- **Organization subpart:** No

## Provider details

- **NPI number:** 1255302659
- **Authorized official:** DR. DAPHNA HENKIN MD (PRESIDENT)
- **Authorized official phone:** (301) 933-5050

## Contact information

- **Practice address:** 18121 GEORGE AVE, SUITE \#103, OLNEY, MD 20832
- **Practice address phone:** (301) 933-5050
- **Practice address fax:** (301) 949-3262
- **Mailing address:** 18121 GEORGIA AVE, SUITE \#103, OLNEY, MD 20832-1437
- **Mailing address phone:** (301) 933-5050
- **Mailing address fax:** (301) 949-3262

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/01/2006
- **Last updated:** 07/18/2007